Growth and characterisation of ZnO micro/nanostructures doped with cerium for photocatalytic degradation applications

ZnO:Ce structures have been obtained by a vapour-solid method. Different dopant concentrations have been used, and the incorporation of cerium in the crystalline structure of zinc oxide has been verified by means of Energy Dispersive Spectroscopy and Raman investigations. The morphology of the structures varies depending on the initial content of Ce in the samples, changing from long and thin rods and wires to "bottle-like" and truncated hexagonal pyramids as the Ce content increases. Cathodoluminescent properties have also been studied, the near band edge and deep level emissions change depending on both Ce content and morphology of the structures. Photocatalysis investigations show that an increase above 5 wt % of cerium oxide in the material causes a slight decrease in the efficiency of these structures in the degradation of the contaminant

Different rates of spontaneous mutation of chloroplastic and nuclear viroids as determined by high-fidelity ultra-deep sequencing

[EN] Mutation rates vary by orders of magnitude across biological systems, being higher for simpler genomes. The simplest known genomes correspond to viroids, subviral plant replicons constituted by circular non-coding RNAs of few hundred bases. Previous work has revealed an extremely high mutation rate for chrysanthemum chlorotic mottle viroid, a chloroplastreplicating viroid. However, whether this is a general feature of viroids remains unclear. Here, we have used high-fidelity ultra-deep sequencing to determine the mutation rate in a common host (eggplant) of two viroids, each representative of one family: the chloroplastic eggplant latent viroid (ELVd, Avsunviroidae) and the nuclear potato spindle tuber viroid (PSTVd, Pospiviroidae). This revealed higher mutation frequencies in ELVd than in PSTVd, as well as marked differences in the types of mutations produced. Rates of spontaneous mutation, quantified in vivo using the lethal mutation method, ranged from 1/1000 to 1/800 for ELVd and from 1/7000 to 1/3800 for PSTVd depending on sequencing run. These results suggest that extremely high mutability is a common feature of chloroplastic viroids, whereas the mutation rates of PSTVd and potentially other nuclear viroids appear significantly lower and closer to those of some RNA viruses.This work was supported by the European Research Council (erc.europa.eu; ERC-2011-StG-281191-VIRMUT to RS), the Spanish Ministerio de Economia y Competitividad (www.mineco.gob.es; BFU2013-41329 grant to RS, BFU2014-56812-P grant to RF, and a predoctoral fellowship to ALC), and the Spanish Junta de Comunidades de Castilla-La Mancha (www.castillalamancha.es;postdoctoral fellowship to CB). 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Proceedings of the National Academy of Sciences, 55(6), 1504-1511. doi:10.1073/pnas.55.6.1504López-Carrasco, A., Gago-Zachert, S., Mileti, G., Minoia, S., Flores, R., & Delgado, S. (2015). The transcription initiation sites of eggplant latent viroid strands map within distinct motifs in theirin vivoRNA conformations. RNA Biology, 13(1), 83-97. doi:10.1080/15476286.2015.1119365Keese, P., & Symons, R. H. (1985). Domains in viroids: evidence of intermolecular RNA rearrangements and their contribution to viroid evolution. Proceedings of the National Academy of Sciences, 82(14), 4582-4586. doi:10.1073/pnas.82.14.4582López-Carrasco, A., & Flores, R. (2016). Dissecting the secondary structure of the circular RNA of a nuclear viroid in vivo: A «naked» rod-like conformation similar but not identical to that observed in vitro. RNA Biology, 14(8), 1046-1054. doi:10.1080/15476286.2016.1223005Flores, R., Hernandez, C., de la Peña, M., Vera, A., & Daros, J.-A. (2001). 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Implementación de círculos de calidad de atención en servicios de salud y satisfacción del usuario externo de los hospitales Carlos Showing Ferrari y Hermilio Valdizán Medrano, Huánuco 2007 – 2008

This study was carried out with the aim to determine the importance of the implementation of the quality circles of medical care in the satisfaction of the external user in the Hermilio Valdizan Regional Hospital and Carlos Showing Ferrari center health, in the province and department of Huánuco. The study was cuasiexperimental, prospective, longitudinal and with chronological series designs. The sample was 374 external patients, distributed in an equitably way, evaluated earlier and after the experiment with a satisfaction questionnaire. In a previous evaluation was classified the critical services of health (external doctor´s offices, emergency and programs) where the dissatisfaction in the time of waiting to receive medical care was a 67,1 %, the inadequate communication 69,5 % and the maltreatment by the personnel of health 67,4 %. The latter results of the experimental group show suitable communication 43,0%, with well-treated 46,3%; their hypotheses were contrasted with Mann- Whitney Test, 95% level of significance the W is 45815 and 46 376 respectively, indicating that it is significant with 0.0000, accepting the Hi in both cases. In the time of waiting, the dissatisfaction still persists in both groups in average 59%; the hypotheses were contrasted with the T student,95% with level of reliability, 0.05 y 344 degrees of release, obtaining the T-140 value and P 0,082, that indicates the acceptance of the null hypothesis. In conclusion the implementation of quality circles has improved the satisfaction in the community and the treatment to external patient; but not about the time of waiting.Este estudio se realizó con el objetivo de determinar la importancia de la implementación de los círculos de calidad de atención en la satisfacción del usuario externo en Hospital Regional Hermilio Valdizán y Micro Red Carlos Showing Ferrari, en la provincia y departamento de Huánuco. El estudio fue de tipo cuasiexperimental, prospectivo, longitudinal y diseño de series cronológicas. La muestra fue 374 usuarios externos, distribuidos equitativamente, evaluados antes y después del experimento con un cuestionario de satisfacción. En la evaluación previa se clasificó los servicios de salud críticos (consultorios externos, emergencia y programas) donde la insatisfacción en el tiempo de espera para recibir atención fue 67,1% la inadecuada comunicación 69,5% y el maltrato por el personal de salud 67,4%. Los resultados posteriores del grupo experimental, indican adecuada comunicación 43,0%, buen trato 46,3%; las hipótesis se contrastaron con el Test de Mann-Whitney, 95% de nivel de significancia la W es 45 815 y 46 376 respectivamente, indican que es significativo con 0.0000, aceptando la Hi en ambos casos. En el tiempo de espera, la insatisfacción aún persiste en ambos grupos en promedio 59% (210); las hipótesis se contrastaron con la T de Student, 95% de nivel de confiabilidad, 0,05 y 344 grados de libertad, obteniéndose el valor T -1.40 y el valor de P 0.082, lo que indican la aceptación de la hipótesis nula. Se concluye que la implementación de los círculos de calidad han mejorado la satisfacción en la comunicación y el trato al usuario externo; mas no así en cuanto al tiempo de espera

What are the living conditions and health status of those who don't report their migration status? a population-based study in Chile

BACKGROUND: Undocumented immigrants are likely to be missing from population databases, making it impossible to identify an accurate sampling frame in migration research. No population-based data has been collected in Chile regarding the living conditions and health status of undocumented immigrants. However, the CASEN survey (Caracterizacion Socio- Economica Nacional) asked about migration status in Chile for the first time in 2006 and provides an opportunity to set the base for future analysis of available migration data. We explored the living conditions and health of self-reported immigrants and respondents who preferred not to report their migration status in this survey. METHODS: Cross-sectional secondary analysis of CASEN survey in Chile in 2006. Outcomes: any disability, illness/accident, hospitalization/surgery, cancer/chronic condition (all binary variables); and the number of medical/emergency attentions received (count variables). Covariates: Demographics (age, sex, marital status, urban/rural, ethnicity), socioeconomic status (education level, employment status and household income), and material standard of living (overcrowding, sanitation, housing quality). Weighted regression models were estimated for each health outcome, crude and adjusted by sets of covariates, in STATA 10.0. RESULTS: About 1% of the total sample reported being immigrants and 0.7% preferred not to report their migration status (Migration Status - Missing Values; MS-MV). The MS-MV lived in more deprived conditions and reported a higher rate of health problems than immigrants. Some gender differences were observed by health status among immigrants and the MS-MV but they were not statistically significant. Regressions indicated that age, sex, SES and material factors consistently affected MS-MVs’ chance of presenting poor health and these patterns were different to those found among immigrants. Great heterogeneity in both the MS-MV and the immigrants, as indicated by wide confidence intervals, prevented the identification of other significantly associated covariates. CONCLUSION: This is the first study to look at the living conditions and health of those that preferred not to respond their migration status in Chile. Respondents that do not report their migration status are vulnerable to poor health and may represent undocumented immigrants. Surveys that fail to identify these people are likely to misrepresent the experiences of immigrants and further quantitative and qualitative research is urgently required

A multi-targeted approach to suppress tumor-promoting inflammation

Cancers harbor significant genetic heterogeneity and patterns of relapse following many therapies are due to evolved resistance to treatment. While efforts have been made to combine targeted therapies, significant levels of toxicity have stymied efforts to effectively treat cancer with multi-drug combinations using currently approved therapeutics. We discuss the relationship between tumor-promoting inflammation and cancer as part of a larger effort to develop a broad-spectrum therapeutic approach aimed at a wide range of targets to address this heterogeneity. Specifically, macrophage migration inhibitory factor, cyclooxygenase-2, transcription factor nuclear factor-κB, tumor necrosis factor alpha, inducible nitric oxide synthase, protein kinase B, and CXC chemokines are reviewed as important antiinflammatory targets while curcumin, resveratrol, epigallocatechin gallate, genistein, lycopene, and anthocyanins are reviewed as low-cost, low toxicity means by which these targets might all be reached simultaneously. Future translational work will need to assess the resulting synergies of rationally designed antiinflammatory mixtures (employing low-toxicity constituents), and then combine this with similar approaches targeting the most important pathways across the range of cancer hallmark phenotypes

Developing agreement on never events in primary care dentistry:an international eDelphi study

Introduction: Never events (NEs) are a subset of serious patient safety incidents that should not occur if appropriate preventive measures are implemented. Although there is a consensus in medicine, there is no agreement on NEs in dentistry. Aim: To identify NEs in primary care dentistry. Method: We undertook an electronic Delphi exercise to develop an international agreement on NEs for primary care dentistry. Results: We initially identified candidate NEs through a scoping review of the literature and then analysed dentistry-related reports in a national incident reporting system. Next, we invited an international panel of 41 experts to complete two rounds of questionnaires; 32 agreed to participate (78%) and completed the first round and 29/41 (71%) members completed the second round. We provided anonymised controlled feedback between rounds and used a cut-off of 80% agreement to define consensus. Consensus was achieved for 23 out of 42 candidate NEs. These related to routine assessment, and pre-operative, intra-operative and post-operative stages of dental procedures. Discussion and conclusion: To our knowledge, this is the first international expert consensus-based approach that has identified NEs for primary care dentistry. We suggest that dental regulators consider these to support quality assessment and governance activities